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MR. WALDO ANTONIO MERY JR.
NPI 1053849398
Counselor - Mental Health in Stockton, CA

Active since May 31, 2017PECOS Enrolled
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8786 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 31, 2017 (2 updates tracked since 2017).

About Mr. Waldo Antonio Mery Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WALDO ANTONIO MERY JR. (NPI 1053849398) is an individual mental health provider in Stockton, California and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053849398
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WALDO ANTONIO MERY JR.
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8786
Phone(209) 468-8786
Sole ProprietorNo
Enumeration DateMay 31, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1053849398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1212 N CALIFORNIA ST, Stockton, CA 95202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Waldo Antonio Mery Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Waldo Mery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
55 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686
SAMMY VILLAMAR ARRIOLA
Community Health Worker
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waldo Mery's NPI number?

The NPI number for Waldo Mery is 1053849398. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Waldo Mery located?

Waldo Mery practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8786.

What is Waldo Mery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Waldo Mery enrolled in Medicare?

Yes. Waldo Mery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Waldo Mery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waldo Mery reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Waldo Mery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Waldo Mery accept?

Health plans from Blue Cross and Blue Shield of Texas list Waldo Mery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waldo Mery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.